Morningside Primary Care

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MORNINGSIDE PRIMARY CARE

Practice address

617 W Manchester Ave
Los Angeles, CA 90044-5718

Phone

(323) 750-9715

Fax

(323) 750-1532

NPI assigned

Aug 30, 2006

Organization subpart

Yes

Parent organization

MORNINGSIDE PRIMARY CAREAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lemmon C McMillan, MD

Title

Owner

Phone

(323) 750-9715

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Morningside Primary Care Medical Ctr Inc2 organizations share this tax ID, including this one

Part of

Morningside Primary Care Medical Ctr Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Morningside Primary Care Medical Center MC Inc a Nevada Corporation

  • Non-Pharmacy Dispensing Site
  • Los Angeles, CA
  • NPI 1255749099
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1730299157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900445718",
            "telephone_number": "323-750-9715",
            "fax_number": "323-750-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900445718",
            "telephone_number": "323-750-9715",
            "fax_number": "323-750-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORNINGSIDE PRIMARY CARE",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "LEMMON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-750-9715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0059701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margarette Morney-Kuanyawo
• Rosa S Morng, PHARMACY TECHINICIAN
• Morning Calm Psychotherapy, Inc.
• Morningside Medical Pharmacy, Inc.
• Morningside Medical Pharmacy,Inc
• Morningside Primary Care Medical Center MC Inc a Nevada Corporation
• Morningside Primary Care Medical Ctr, Inc
• Morningside Specialty Hospital Inc.
• Thomas Earl Morningstar
• Sandra Carole Moro, OTR.L

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.